PEDIATRICS Vol. 94 No. 1 July 1994, pp. 134
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Letter to the Editor

Arthur J. Shepard III MD1 and Mia W. Doron MD1

1 Neonatal-Perinatal Medicine, University of North Carolina Hospitals, Chapel Hill, NC 27599-7596

We read with interest William A. Silverman's commentary regarding the ratio of neonatologists per 10 000 live births in the United States compared with other similarly developed nations of the world.1 The tone and title of the commentary imply that the United States unwisely spends a disproportionate amount of gross domestic product on physician care of the sick neonate. Silverman postulates rhetorically that perhaps other similarly developed nations have set realistic limits on the number and compensation of neonatologists, or that perhaps America's "laissez-faire" capitalism allows market-driven expansion of the specialty.